Doctor profile · Federal record
Dr. Shane Wallace, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Registered Nurse · Certified Registered Nurse Anesthetist · Certified Registered Nurse Anesthetist · Pikeville, KY
- NPI 1235378605
- Accepts Medicare
- MIPS 82.9 / 100 · 2023
- 18 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
911 Bypass RD Bldg A
Pikeville, KY 415011689
(606) 430-3500
fax (606) 437-1033 - Mailing address
-
Po Box 432
Pikeville, KY 415020432
Credentials & registration
- NPI registered
- February 2009 — 17 yrs on file
- Profile last updated
- August 2, 2023
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (4)
- Kentucky #3008218 · Virginia #0001179608 · Virginia #0024168171 · Tennessee #33501
- Medicaid (2)
- VA #1235378605 · KY #7100075570
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235378605. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
45
Distinct HCPCS
3
Medicare allowed
$3,008
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 18 | 18 | $64 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 14 | 14 | $76 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 13 | 13 | $61 |
In context: peer comparison
Among 15 peers in this city , average services per provider: 19. This provider delivers 2.4× the peer median.Open Payments
Industry payments received
All-time total
$137
Transactions
6
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 3 | $53.32 | |
| EAGLE PHARMACEUTICALS, INC. | 2 | $46.56 | |
| Fisher & Paykel Healthcare Inc | 1 | $37.40 |
By nature of payment
Frequently asked questions
What is Dr. Shane Wallace's medical specialty?
Dr. Shane Wallace practices Certified Registered Nurse Anesthetist in Pikeville, KY.
Where does Dr. Shane Wallace practice?
Dr. Shane Wallace practices at 911 Bypass RD Bldg A, Pikeville, KY 415011689. Office phone: 6064303500.
What is Dr. Shane Wallace's NPI?
Dr. Shane Wallace's National Provider Identifier (NPI) is 1235378605, issued by NPPES.
Does Dr. Shane Wallace accept Medicare assignment?
Yes. Dr. Shane Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Wallace commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for procedure on small and large bowel using an endoscope (HCPCS 00813); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811). Source: CMS Medicare Physician & Other Practitioners file.